MULBERRY PHARMACY INC (NPI# 1750561619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750561619 |
| Entity Type | Organization |
| Organization Name | MULBERRY PHARMACY INC |
| Other Organization Name | MULBERRY LONG TERM CARE PHARMACY |
| Practice Address |
1011 N Church Ave Mulberry FL 33860-2039 |
| Mailing Address |
Po Box 797 Mulberry FL 33860-0797 |
| Practice Telephone | 8634251101 |
| Practice Fax Number | 8634252802 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | JEROLD SLAUGHTER (PRESIDENT) |
| Authorized Official Telephone | 8634251101 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH22964 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 032380200 | 05 | |
| PK | 2010229 | 01 |
| Other Name | Type Code |
|---|---|
| MULBERRY LONG TERM CARE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609973445 | Mulberry Pharmacy Inc | Pharmacy | 1009 N Church Ave, Mulberry, FL 33860-2039 | 2006-09-20 |
| 1619411493 | Mulberry Pharmacy Inc | Pharmacy | 87 Mulberry St, New York, NY 10013-4452 | 2016-12-13 |
| Street Address |
1011 N CHURCH AVE |
| City | MULBERRY |
| State | FL |
| Zip Code | 33860-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134845 | Mulberry Ltc Pharmacy, LLC | Pharmacy | 1011 N Church Ave, Mulberry, FL 33860 | 2020-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280414 | Marilyn Renee Hobdy | Case Manager/Care Coordinator | 2155 Pump Rd, Mulberry, FL 33860 | 2017-08-11 |
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 1356740757 | Healthstat Onsite Clinic- Mosaic Mulberry | Preventive Medicine | 3095 Highway 640 West, Mulberry, FL 33860 | 2014-08-21 |
| 1154746899 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Avenue, Mulberry, FL 33860 | 2014-03-04 |
| 1114056108 | Abhaykumar Sobhagchand Shah | Pharmacist | 6745 North Curch Ave, Mulberry, FL 33860 | 2007-03-05 |
| 1609112408 | Margarette Lespinasse | Nurse Practitioner | 106 Nw 9th Ave, Mulberry, FL 33860 | 2012-12-26 |
| 1437141686 | Salazar Family Health Care, Inc | Family Medicine | 708 N Church Ave, Mulberry, FL 33860-2034 | 2005-08-15 |
| 1811357775 | Sandra George | Nurse Practitioner | 708 N Church Ave, Mulberry, FL 33860-2034 | 2016-03-03 |
| 1417588625 | Mulberry Food and Pharmacy LLC | Pharmacy | 806 N Church Ave, Mulberry, FL 33860-2036 | 2020-01-28 |
| 1609973445 | Mulberry Pharmacy Inc | Pharmacy | 1009 N Church Ave, Mulberry, FL 33860-2039 | 2006-09-20 |
| Find all providers in zip 33860 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134845 | Mulberry Ltc Pharmacy, LLC | Pharmacy | 1011 N Church Ave, Mulberry, FL 33860 | 2020-08-14 |
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|---|---|---|---|---|
| 1598362519 | Fast & Friendly Ltc Pharmacy, LLC | Pharmacy | 3202 W Baker St, Plant City, FL 33563-2849 | 2020-10-02 |
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1811526650 | Careone Pharmacy Services LLC | Pharmacy | 1455 E Airport Blvd, Sanford, FL 32773-6818 | 2020-04-03 |
| 1982239810 | Wamu LLC | Pharmacy | 85 Cypress Point Pkwy Unit C, Palm Coast, FL 32164-8455 | 2020-03-11 |
| 1477186724 | Central Tampa Pharmacy LLC | Pharmacy | 5010 N 40th St Ste 201, Tampa, FL 33610-5202 | 2020-02-14 |
| 1790317311 | Specialty Rx Fl, LLC | Pharmacy | 15461 Sw 12th St Ste 108, Sunrise, FL 33326-1996 | 2020-02-11 |
| 1700426970 | Shambhu Inc. | Pharmacy | 19214 Nw Us Highway 441 Ste 10, High Springs, FL 32643-8783 | 2020-01-15 |
| 1205475175 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd Ste 126, Melbourne, FL 32940-2037 | 2019-12-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.